Digital Commons Network^™

Ethical And Collaborative Decision-Making In Crisis Mental Healthcare: A Case Report, Chloe Parkin, Joby Plant, Anonymous Anonymous

South West Clinical School Journal

#400WORDS: KNOWLEDGE + ACTION

Property Clause Power Play: The Blm's Conservation Rule And Loper Bright, Meridian S. Wappett, Sandra B. Zellmer

Public Land & Resources Law Review

This article examines the implications of Loper Bright on public land management through rulemaking. Part II provides a comprehensive overview of the case, its holding, and its potential ramifications. Part III delves into the history of the Administrative Procedure Act (“APA”), to illuminate the evolution and underlying rationale for agency deference. Part IV analyzes the constitutional framework underpinning the BLM’s statutory authority, rooted primarily in the Property Clause, which delegates the task of making “needful” rules governing public lands to Congress and to federal land management agencies. Finally, Part V argues that the Rule is valid, whether a reviewing court …

A Most Essential Power: The Case For Restoring Comprehensive Land Use Authority In Indian Country, Michelle Bryan

Public Land & Resources Law Review

Part I of this article provides a brief overview of allotment and its lingering jurisdictional quagmire on impacted reservations. Stepping outside of Indian Country, Part II then outlines the U.S. Supreme Court’s longstanding recognition of sweeping, area-wide government land use authority—authority it considers among the “most essential” and “least limitable.” The Court has never applied this established law when determining tribal sovereignty over land use. That application is long overdue.

Part III details how we arrived at this state of affairs—how tribes, despite starting with sovereign control over land use throughout their territories, experienced losses in that authority over time …

Water Knows No Boundaries: Tribal Jurisdiction Over Non-Indians' Off-Reservation Conduct That Threatens On-Reservation Tribal Water Resources, Wesley J. Furlong, Lori E. Blumenthal

Public Land & Resources Law Review

This Article begins by discussing Manoomin and Sauk-Suiattle, orienting the reader to how these complicated jurisdictional issues have been addressed by Tribal courts. Next, this Article sets forth the current framework under Montana and Merrion for determining the extent of Tribal civil jurisdiction over non-Indians. Next, this Article examines the caselaw establishing Tribal Nations’ inherent sovereign authority to exercise civil jurisdiction over non-Indian activities and conduct occurring on-reservation that threaten or affect Tribal water resources and rights. Finally, this Article examines the caselaw that lays the groundwork for extending Tribal Nations’ civil jurisdiction over non-Indian activities and conduct occurring off-reservation …

Treaty Justice: Charles Wilkinson's Homage To The Boldt Decision, Michael C. Blumm

Public Land & Resources Law Review

Charles Wilkinson, a beloved teacher, author, and advisor, gave his readers perhaps his most personal gift in Treaty Justice: The Northwest Tribes, the Boldt Decision, and the Recognition of Fishing Rights (U. Washington Press, 2024). Wilkinson finished the manuscript just a week before his unexpected death, at age 81, in 2023. The book is a blend of personal memoirs of countless encounters of people involved in the seminal Boldt decision–which revolutionized treaty fishing rights– and its aftermath, and part of legal history by an analyst who was acutely sensitive to the vagaries of both law and history. We are fortunate …

Abandoning The Iron Horse: Railroad Rights-Of-Way And The Implied Doctrine Of Reverter On Indian Reservations, Arthur B. Macomber

Public Land & Resources Law Review

Land title issues on Indian Reservations are notoriously but unnecessarily complex. Unsettled land titles and the resulting fragile land ownership status on Indian Reservations are well-known factors impeding productive land uses, the cure of environmental degradation, and Indian sovereignty, ownership, and control over sustainable land uses. Some lawsuits even question the existence of a Reservation itself. Land titles to many parcels on Indian Reservations have been split into thousands of owners. Using existing law and principles of equity, abandoned Reservation rights-of-way of many types do not have to sit unused and economically unproductive. Future lawsuits and other wasteful societal friction …

Occupational Noise Exposure In Mechanical And Maintenance Workshops In A Food Industry: Case Study, Hassan Kamalaldein Felemban, Ahmed Saleh Summan, Radhouane Chakroun

Journal of King Abdulaziz University: Meteorology, Environment and Arid Land Agriculture

Occupational noise exposure in industrial environments presents considerable hazards to workers' health and welfare. This case study analyzes the noise levels in the Maintenance & Workshop units of a small-scale food industry in Saudi Arabia, and assesses the related health impacts. The research indicates that noise levels are often above the advised safety limits, with several locations recording measures over 85 dBA, hence increasing the risk of Noise-Induced Hearing Loss (NIHL), cardiovascular complications, and psychological distress. Survey data indicates that around 32% of employees claimed that they suffer from hearing impairment, while a considerable number claimed cardiovascular and mental health …

Design And Development Of Smart Wheelchair From Lecture Chair, Muhammad Sholihul Abdillah, Fauzan Masykur, Abdur Rohman Hasan

Journal of King Abdulaziz University: Engineering Sciences

Wheelchairs play a vital role in providing mobility for individuals with physical disabilities. Enhancing these devices with modern technology significantly improves user convenience and overall functionality. A key enhancement involves integrating smartphones into wheelchair systems. While conventional wheelchairs are generally operated manually, this research presents a smart wheelchair prototype adapted from a standard classroom chair, which is wirelessly controlled using a smartphone via Bluetooth and an Arduino Uno R3 microcontroller. The project involves developing both a mobile application and embedded software. The mobile app is created through a visual block-based programming interface, while the Arduino side is coded using C++. …

Efficacy Of Azadirachta Indica Extract And The Green Synthesized Silver Nanoparticles Against The Aspergillus Spp. Causing Pomegranate Fruit Rot In Taif Governorate, Saudi Arabia, Abeer S. Alqurashi

Journal of King Abdulaziz University: Meteorology, Environment and Arid Land Agriculture

Despite being prone to fungal diseases, particularly those caused by Aspergillus species, the pomegranate fruit is greatly esteemed for its nutritional value and health benefits. Fungal infections can inflict significant damage and may produce mycotoxins, which pose serious risks to human health. Species of Aspergillus are responsible for causing diseases that affect pomegranate fruit in Taif, Saudi Arabia. This study aims to assess the efficacy of neem extract and its silver nanoparticles as antifungal agents against these infections. Upon reviewing their morphological and genetic traits, the predominant species identified were Aspergillus niger, Aspergillus versicolor and Aspergillus tubingensis. Laboratory-based …

Mortalitas Pada Pasien Hemodialisis: Masih Menjadi Tantangan Globa, Anandhara Indriani Indriani Khumaedi, Dina Elita

Jurnal Penyakit Dalam Indonesia

No abstract provided.

Faktor-Faktor Yang Berhubungan Dengan Massa Otot, Kekuatan Otot, Dan Performa Fisik Pada Lansia, Nur Riviati, Taufik Indrajaya, Rukiah Chodilawati, Ridzqie Dibyantari, Bima Indra

Jurnal Penyakit Dalam Indonesia

Introduction. Despite its high prevalence and significant impact on health, comprehensive studies are still needed to explore the factors affecting sarcopenia parameters, such as muscle mass, muscle strength, and physical performance. This study aimed to identify the factors influencing sarcopenia parameters in the elderly, including muscle mass, muscle strength, and physical performance.

Methods. A cross-sectional study was conducted from July to December 2022 on elderly individuals (>60 years old) at the Geriatric Polyclinic, Moh. Hoesin General Hospital, Palembang, selected through consecutive sampling. Muscle mass was measured using bioimpedance analysis, expressed in ASMI values; muscle strength was measured …

Faktor Risiko Yang Berhubungan Dengan Kematian Pasien Penyakit Ginjal Kronis Pada Usia Dewasa Yang Menjalani Hemodialisis Reguler Di Provinsi Lampung, Joue Abraham Trixie Latupeirissa, Mondastri Korib Sudaryo, Muhamad Zulfikar Hadiaturahman, Steven Sapta Putra Sinaga

Jurnal Penyakit Dalam Indonesia

Introduction. Although mortality among adult chronic kidney disease (CKD) patients on regular hemodialysis remains infrequent within the first three months, it is still a potential outcome. Given that hemodialysis is required for life, identifying risk factors for mortality is critical. This study aims to examine risk factors associated with mortality in adult CKD patients undergoing regular hemodialysis.

Methods. A case-control study, without matching, was conducted using medical record data from adult CKD patients (≥18 years) receiving regular hemodialysis between 2022 and 2024 at three hospitals (types A, B, and C) in Lampung Province. The case group consisted of …

Gejala Neuropsikiatri Pasien Hiv Setelah Menjalani Transisi Antiretrovirus Nevirapin Ke Dolutegravir Di Rumah Sakit Cipto Mangunkusumo, Jakarta, Metra Adi Pratama, Rudi Putranto, Herqutanto Herqutanto, Aisyah Syahrani, Aljira Fitya Hapsari, Veritea Natali, Meivina Ramadhani Pane, Evy Yunihastuti

Jurnal Penyakit Dalam Indonesia

Introduction. Dolutegravir (DTG) is one of the effective antiretroviral therapies (ART) for suppressing HIV replication and has a favorable safety profile. However, reports regarding neuropsychiatric side effects, especially in patients transitioning from a nevirapine (NVP) regimen to dolutegravir, have started to emerge. This study aimed to describe the changes in neuropsychiatric symptoms before and after the transition from a NVP-based ARV regimen to DTG in HIV patients at Cipto Mangunkusumo Hospital (RSCM), Jakarta.

Methods. This study employed a prospective cohort design involving 292 HIV patients at Cipto Mangunkusumo Hospital who were transitioning from NVP to DTG regimen. Participants …

Peran Prediktif Il-6, Il-10, Dan Tnf-Α Plasma Terhadap Gagal Ginjal Akut Pada Pasien Dengan Covid-19 Derajat Sedang Dan Berat, Dewi Gathmyr, Maruhum Bonar H Bonar, Adityo Susilo, Kuntjoro Harimurti, Ginova Nainggolan, Alvin Tagor, Hamzah Shatri, Cosmas Rinaldi Adithya Lesmana, Zulkifli Amin

Jurnal Penyakit Dalam Indonesia

Introduction. Acute kidney injury (AKI) is associated with higher mortality rate in COVID-19 patients due to inflammation and immune dysregulation. This study aimed to correlate serum levels of IL-6, IL-10, and TNF-α with serum creatinine changes and their roles to predict incidence of acute kidney injury (AKI) in patients with moderate and severe COVID-19.

Methods. This prospective cohort study was conducted among patients with moderate to severe COVID-19 in Pertamina Central Hospital Jakarta, Indonesia during November 2020 to January 2021. All serum levels of cytokines (IL-6, IL-10, and TNF-α) and creatinine were collected on the first day and …

Korelasi Stenosis Penyakit Arteri Perifer Di Bawah Lutut Dengan Kecepatan Hantar Saraf Pada Penyandang Neuropati Perifer Diabetes Melitus Tipe 2, Akbarbudhi Antono, Dono Antono, Birry Karim, Manfaluthy Hakim, Kuntjoro Harimurti, Dyah Purnamasari Sulistianingsih, Eka Ginanjar, Erni Juwita Nelwan, Pringgodigdo Nugroho

Jurnal Penyakit Dalam Indonesia

Introduction. One consequence of DM is the emergence of peripheral artery disease (PAD) and diabetic peripheral neuropathy (DPN). Diabetic peripheral neuropathy is a complication of diabetes that presents signs and symptoms of motor and sensory disturbances, while PAD is an atherosclerosis condition that gradually develops in the arterial vessels. This study aimed to determine correlation of arterial obstruction assessed using arteriography and the nerve impairment assessed using nerve conduction velocity (NCV) in DM patients with PAD and DPN.

Methods. This is a cross-sectional study that takes secondary data from previous research conducted from July 2018 to June 2021 …

Laporan Kasus Hipokalemi Periodik Paralisis Pada Pasien Dengan Graves’ Disease, Anggi Cahaya Millenia S Sirait, Borries Foresto Buharman, Adinda Zhafira Dyanti Putri, Derby Ayudhia Utami Iskandar Putri

Jurnal Penyakit Dalam Indonesia

Hypokalemia periodic paralysis (HPP) characterized by episodes of flaccid weakness or paralysis that may be associated with abnormalities of the serum potassium level. HPP often associated with hyperthyroidism and Graves’ disease. HPP prevalence is 1 in 100.000. Each individual has different clinical manifestations, so it’s necessary to adjust therapy based on the etiology. This case report was developed to provide more information regarding Graves’ disease, considering lack of information about management and description of HPP with Graves’ disease. A 27-year-old male with sudden weakness in both legs radiating to upper extremity, shortness of breath, palpitations, and sweating. Over the last …

Pemberian Asupan Kalori Terestriksi Vs. Asupan Kalori Standar Yang Berlanjut Pada Pasien Penyakit Kritis Dengan Refeeding Syndrome: Laporan Kasus Berbasis Bukti, Sukma Hapsari, Rabbinu Rangga Pribadi

Jurnal Penyakit Dalam Indonesia

Refeeding syndrome is a different clinical symptom and metabolic disorder that occur during the reintroduction of nutrition in chronically malnourished patients. Calorie restriction can increase survival and reduce mortality rates. This evidence-based case report was developed to examine the influence of caloric restriction on mortality, morbidity, and duration of critical illness. A literature search was performed using PubMed, EBSCOHost, ScienceDirect, and Cochrane with the keywords: “critically ill,” “restricted caloric intake,” “standard caloric intake,” “mortality,” “morbidity,” and “duration”. Articles were appraised using the University of Oxford Centre for Evidence-Based Medicine (CEBM) tools. Two studies met the inclusion criteria. The first was …

Tata Laksana Fraktur Panggul Pada Geriatri: Sudut Pandang Internis, Laila M. Jannah, Noto Dwimartutie

Jurnal Penyakit Dalam Indonesia

Hip fracture are a common issue in geriatric patients, associated with increased risk of morbidity and mortality. The complex and multimorbid characteristics of geriatric patients presents significant challenge in their management. Optimal outcomes require a comprehensive interdisciplinary approach to care, aiming to restore functional status and reduce postoperative complications. A holistic strategy, grounded in thorough Comprehensive Geriatric Assessment (CGA), is essential to guide individualized treatment and ensure effective, patient-centered management.

Comparative Analysis Of The Efficiency Of Reverse Osmosis And Hydroxyapatite For Fluoride Removal In Water: A Case Of Auwsa, Innocent J. Macha

Tanzania Journal of Engineering and Technology (TJET)

Water treatment technology selection depends on contaminant type and budget. Fluoride removal from water is particularly challenging, requiring non-conventional treatment technologies (Radwan, 2023). Several regions in Tanzania, including Arusha City, are affected by fluoride contamination. With a population of 617,631 (Census, 2022), only 117,763 people currently have access to clean water supplied by AUWSA. This study aimed to compare the efficiency of Reverse Osmosis (RO) and Hydroxyapatite (HAP) in fluoride removal as a strategy to address water quality and supply challenges. Experiments were conducted using 6 m³ of raw water with fluoride concentrations ranging from 5.1 mg/L to 6.83 mg/L, …

Towards Effective Academia-Industry Collaborations: The Case Of Higher Learning Institutions In Tanzania, Fatuma S. Ikuja

Tanzania Journal of Engineering and Technology (TJET)

Industries are the main consumers of products from higher learning institutions (HLIs); graduates for employment and research outputs for socio-economic development. Research outputs from HLIs are commercialized as services or products facilitated by academia-industry collaborations. The collaborations are expected to address mismatch between labour market needs and HLIs’ products, which has resulted in graduates’ employability challenges. Despite their importance, effective academia-industry collaborations remain challenging. This study explores the effectiveness of Academia-Industry collaborations established by HLIs in implementing the Higher Education Economic Transformation (HEET) project (2021-2026) in Tanzania. One of the project objectives is to build functional linkages between industry and …

Spatially Resolved Transcriptomic Profiles Of Placental Cell Populations In Placental Malaria, Corina A. Mong

Undergraduate Honors Theses

Malaria remains a prevalent infectious disease that continues to cause disease-related morbidity and mortality. Despite preventative efforts, malarial pregnancies still cause birth complications, therefore emphasizing the necessity to study these adverse outcomes in malarial pregnancy. Malaria in pregnancy can lead to placental malaria (PM), which is the presence and accumulation of Plasmodium-infected red blood cells in the placental intervillous space (IVS). Even after treatment, past PM (presence of hemozoin crystals from the parasite in the placenta) can cause a chronic inflammatory response. We predicted that the activation states of the maternal monocytes and fetal macrophages differ within the placenta and …

Enhancing Quality Assurance In Construction Implementation: The Role Of Bim As A Comprehensive Documentation Tool, Ahmed M. Hani

Journal of King Abdulaziz University: Engineering Sciences

This study investigates the potential of Building Information Modelling (BIM) as a tool for enhancing the quality assurance of construction projects during the implementation phase. Given the increasing complexity of construction projects and the growing amount of information required, BIM has emerged as an indispensable tool for the Architecture, Engineering, and Construction (AEC) industry. Nevertheless, many construction projects encounter challenges and delays due to incomplete information and inadequate documentation during the construction phase, thereby compromising the quality of the final product. To address these issues, the study conducts a meticulous analysis of recently published papers, online resources, and practical experiences …

Tell Me How You Really Feel: A Case Study On Restorative Practices, Marissa Santiago

Theses and Dissertations

Restorative Practices are gaining popularity as the primary form of handling student discipline. In the past, school districts have heavily relied on exclusionary practices, such as suspension and expulsions. The purpose of this qualitative case study is to explore and understand how educators make sense of restorative practices in an urban intermediate school serving students in fourth to sixth grade. The guiding framework for this study was Sensemaking Theory. Sensemaking theory helps researchers to understand how participants make sense of their experiences. Ten teachers, from an urban intermediate school, participated in this study through semi-guided interviews, observations, and document collection. …

Sex-Dependent Modulation Of Behavioral Allocation Via Ventral Tegmental Area-Nucleus Accumbens Shell Circuitry, Kristen A. Mclaurin, Jessica M. Illenberger, Hailong Li, Rosemarie M. Booze, Charles F. Mactutus

Faculty Publications

Diagnostic criteria for substance use disorder, cocaine type (i.e., cocaine use disorder), outlined in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders, imply that the disorder arises, at least in part, from the maladaptive allocation of behavior to drug use. To date, however, the neural circuits involved in the allocation of behavior have not been systematically evaluated. Herein, a chemogenetics approach (i.e., designer receptors exclusively activated by designer drugs (DREADDs)) was utilized in combination with a concurrent choice self-administration experimental paradigm to evaluate the role of the mesolimbic neurocircuit in the allocation of behavior. Pharmacological activation …

"The Growing Burden: Overweight And Obesity Prevalence And Risk Factors Among Medical College Students In Mysuru: A Cross-Sectional Study", Akansha ., Nayanabai Shabadi, Anchu R Nath, Ravipati Manogna

Digital Journal of Clinical Medicine

ABSTRACT:

Background:

The transition from adolescence to adulthood is often accompanied by significant lifestyle changes, including changes in dietary habits, physical activity levels, and stress, which can contribute to unhealthy weight gain. In India, the prevalence of overweight and obesity among youth has shown an upward trend, raising concerns about early onset of non-communicable diseases. This study aims to assess the prevalence of overweight and obesity among degree college students in Mysuru and to identify the associated socio-demographic and lifestyle factors contributing to these conditions.

Methodology:

A cross-sectional study was conducted over three months, from January to March 2025, among …

Determinants Of Food Management Behavior On Food Waste Reduction And Household Food Security Through Expenditure Efficiency And Energy Consumption, Prita Dhyani Swamilaksita, Yayuk Farida Baliwati, Drajat Martianto, Dodik Briawan

Media Kesehatan Masyarakat Indonesia

Food Waste (FW) in urban households remains a serious issue as it contributes to economic losses, reduced dietary quality, and weakened food security. This study aims to identify the dominant factors influencing food management behavior, FW generation, and their implications for household food security in urban settings. A cross-sectional design was applied with urban households as the study population, and samples were selected using purposive sampling. Data were analyzed using Structural Equation Modeling (SEM) within the framework of the Theory of Planned Behavior (TPB) and Nudge Theory. The results indicate that attitude (β = 0.42; p < 0.01), subjective norm (β = 0.31; p < 0.05), and perceived behavioral control (β = 0.36; p < 0.01) significantly influence intention toward food management. Furthermore, intention strongly predicts actual food management behavior (β = 0.55; p < 0.001), which subsequently reduces FW (β = –0.47; p < 0.001). Reduced FW positively affects both food expenditure efficiency (β = 0.39; p < 0.01) and energy intake adequacy (β = 0.34; p < 0.05), two critical indicators of urban household food security. Behavioral factors play a crucial role in reducing FW and strengthening food security in urban households. Therefore, behavior-based interventions using TPB and Nudge Theory are recommended to be integrated into food education programs, household assistance, and urban food security policies to ensure effectiveness and sustainability.

Nebraska Farm Real Estate Market Highlights 2024-2025, Jim Jansen

Nebraska Farm Real Estate Reports

Reversing a half decade in gains, the all-land average value in Nebraska declined for the year ending February 1, 2025, averaging approximately 2% lower than the prior year. Figure 2 summarizes these figures and trends along with the percent changes over the preceding year’s all-land average for the eight districts in the state.

Rates of decline were the highest in the Northeast and Southeast Districts, as these areas averaged 3% lower for the all-land average. These Districts trended slightly similar to the state's rate of decrease of 2%. The South and Southeast District also averaged 2% lower.

The other four …

Life Beneath The Tides: Seagrass Meadows In Surigao Del Sur, Philippines, Giselle B. Ramos, Roxan E. Caray

Journal of King Abdulaziz University: Marine Science

Seagrasses are a valuable component of global blue carbon ecosystems yet are also endangered due to natural and man-made pressures. This study assessed the seagrass resources regarding species community structure and diversity using a transect-quadrat design along the intertidal coastlines of selected towns of Surigao del Sur. Of the 19 recorded species in the Philippines, seven common species were observed: Cymodocea rotundata, Enhalus acoroides, Halodule pinifolia, Halodule uninervis, Thalassia hemprichii, Syringodium isoetifolium, and Halophila ovalis. Across study sites, the most evident species are T. hemprichii, C. rotundata, and S. isoetifolium; the existence …

Dynamic Model Of Stunting Incidents And Policies In Padang City, Elsa Yuniarti, Yulhendri Yulhendri, Fitra Arya Dwi Nugraha, Nurhasan Syah, Iswandi Umar, Heldi Heldi, Nabila Azzahra

Media Kesehatan Masyarakat Indonesia

Stunting remains a significant public health challenge with complex, interconnected causative factors. Traditional static approaches fail to capture the dynamic relationships between environmental, health, and socioeconomic determinants. Dynamic modeling is essential for understanding these multifaceted interactions and developing effective prevention policies. Despite declining trends, Padang City's high prevalance of stunting necessitates urgent, targeted interventions to achieve national targets. This study aims to develop a dynamic model analyzing stunting factors in Padang City and formulate effective prevention policies. A quantitative descriptive method with a dynamic systems approach was employed. Primary data were obtained through stakeholder questionnaires, while secondary data were obtained …

Psychosocial Factors And Prevalence Of Stress In Early Pregnancy: A Study In Makassar City, Jumriani Ansar, Asri C Adisasmita, Sudarto Ronoatmodjo, Farid Husin, Muliani Ratnaningsih

Media Kesehatan Masyarakat Indonesia

Stress during pregnancy can negatively impact the health of both the mother and the fetus, especially in the first trimester, which is a period of intense physical and emotional adaptation. This study aims to determine the prevalence and psychosocial factors associated with the occurrence of stress in first-trimester pregnant women in Makassar City. This study uses a cross-sectional design involving 256 first-trimester pregnant women from five public health centers in the suburban areas of Makassar City. Data were collected through interviews using a structured questionnaire. The Edinburgh Postnatal Depression Scale (EPDS10) instrument was used to measure stress levels. Analysis was …